SNHD Paramedic Protocol Exam Study Guide
1. Identify the Parkland Burn Formula for Fluid Replacement.: 4ml x (body
weight in kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8
hours; give remainder over next 16 hours
Pg. 28
2. For children, a fall greater than requires transport to a Level 1 or 2
trauma center.: 10 feet or two times the height of the child
Pg. 127
3. What is the dose of Naloxone (Narcan) in the setting of a suspected over-
dose?: 2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
4. For a traumatic cardiac arrest, what interventions must be performed prior
to considering terminating resuscitation efforts?: Provide effective ventilation
,with 100% oxygenation for two (2) minutes
Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
5. For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic
blood pressure greater than 100 mmHg, what is the dose of Nitroglycerin?: 1.6
mg SL
Pg. 49
6. Which patient(s) can be taken to a hospital that has been placed on internal
disaster?: A patient in which an airway cannot be established
A patient in cardiac arrest
Pg. 12
7. A patient who was ejected from a motor vehicle requires transport to a Level
1 and 2 trauma center only.: False (Level 1, 2 or 3)
,Pg. 127
8. When should radio contact be established to a receiving facility?: All trauma
patients
, Emergency (code 3) returns
Need for telemetry physician
Per protocol
Pg. 11
9. How often can additional Diazepam (Valium) doses be administered to a pr
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
egnant patient who is refractory to Magnesium Sulfate?: Every 5 minutes
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
Pg. 43 X2
10. For non- X2
trauma patients, telemetry reports should include at a minimum which of the fo
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
llowing?: Attendant/vehicle identification, Nature of call: INFOR-
X2 X2 X2 X2 X2 X2
X2 MATION ONLY or REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. nu
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
mber, age, sex), Patient condition (i.e. stable, full arrest), History, Objective findings,
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
Treatment, Estimated time of arrival including any special circumstances that may ca
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
use a delay in transport
X2 X2 X2 X2
1. Identify the Parkland Burn Formula for Fluid Replacement.: 4ml x (body
weight in kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8
hours; give remainder over next 16 hours
Pg. 28
2. For children, a fall greater than requires transport to a Level 1 or 2
trauma center.: 10 feet or two times the height of the child
Pg. 127
3. What is the dose of Naloxone (Narcan) in the setting of a suspected over-
dose?: 2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
4. For a traumatic cardiac arrest, what interventions must be performed prior
to considering terminating resuscitation efforts?: Provide effective ventilation
,with 100% oxygenation for two (2) minutes
Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
5. For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic
blood pressure greater than 100 mmHg, what is the dose of Nitroglycerin?: 1.6
mg SL
Pg. 49
6. Which patient(s) can be taken to a hospital that has been placed on internal
disaster?: A patient in which an airway cannot be established
A patient in cardiac arrest
Pg. 12
7. A patient who was ejected from a motor vehicle requires transport to a Level
1 and 2 trauma center only.: False (Level 1, 2 or 3)
,Pg. 127
8. When should radio contact be established to a receiving facility?: All trauma
patients
, Emergency (code 3) returns
Need for telemetry physician
Per protocol
Pg. 11
9. How often can additional Diazepam (Valium) doses be administered to a pr
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
egnant patient who is refractory to Magnesium Sulfate?: Every 5 minutes
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
Pg. 43 X2
10. For non- X2
trauma patients, telemetry reports should include at a minimum which of the fo
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
llowing?: Attendant/vehicle identification, Nature of call: INFOR-
X2 X2 X2 X2 X2 X2
X2 MATION ONLY or REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. nu
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
mber, age, sex), Patient condition (i.e. stable, full arrest), History, Objective findings,
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
Treatment, Estimated time of arrival including any special circumstances that may ca
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
use a delay in transport
X2 X2 X2 X2
